| NPI | 1164830030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP JASON SKUDA Manager 206-329-0338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-24 |